Dental Medical Billing Services

Endocrinology billing is deceptively complex. One wrong diabetes education code, one missed CGM billing opportunity, or one undercoded complex E/M visit—and thousands in revenue vanish.

Neo MD fixes that with endocrinology-certified coders, diabetes care management workflows, and aggressive revenue capture built for chronic disease management complexity.

94-96%

First-Pass Claim Acceptance

+24%

Average Revenue Increase

90

Days to Results

Is Your Dental Practice
Bleeding Revenue? (Most Are.)

If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $100K–$240K+ annually:

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit Code: DEN-901

Medical Necessity Claims Denied

CDT vs CPT code selection errors

Priority: High
Audit Code: DEN-902

Surgical Extraction Claims Rejected

Simple vs surgical documentation is insufficient

Priority: High
Audit Code: DEN-903

Implant Surgery Claims Denied

A missing bone graft is a medical necessity

Priority: Critical
Audit Code: DEN-904

Sleep Apnea Appliance Claims Delayed

Prior authorization failures for oral devices

Priority: High
Audit Code: DEN-905

Periodontal Procedure Claims Bundled

When scaling and surgery should've been billed separately

Priority: Medium
Audit Code: DEN-906

Medical vs Dental Insurance Violations

Billing dental insurance when medical applies

Invisible Losses

According to ADA and dental billing benchmarking data, practices lose 18%–25% of revenue due to:

21% underpayment

CDT vs CPT Selection

Using dental codes for medical conditions

$9K-$22K/month

Surgical Extraction Coding

Wrong code for complexity level

High-dollar loss

Bone Graft Billing

Not billing separately with implants

18% denial rate

Sleep Apnea Oral Devices

Medical insurance vs dental confusion

Critical miss

Periodontal Maintenance

Wrong frequency or code selection

Systematic loss

TMJ Treatment Coding

Medical vs dental coverage gaps

Compliance risk

Anesthesia for Dental

Not billing medical anesthesia codes

Untapped revenue

Frenectomy Medical Billing

Using dental codes for medical necessity

"You didn't train for years to fight with insurance companies. But right now, coding errors cost more than a dentist's salary."
Cumulative Revenue Variance
$240,000+
Per Annum Potential

Why General Medical Billing Companies Fail Dental Practices

Dental billing requires specialty expertise that general billers don’t have.

CDT vs CPT chaos

Can't determine when to use medical vs dental codes

Surgical extraction blindspot

Don't know simple vs surgical classification criteria

Bone graft confusion

Can't bill grafts separately from implant placement

Sleep apnea device miss

Don't bill oral appliances to medical insurance properly

Periodontal coding errors

Wrong maintenance vs therapy code selection

Medical necessity gaps

Can't document TMJ or medical dental conditions

Anesthesia underbilling

Don't capture medical anesthesia billing opportunities

Insurance type blindspot

Bill dental when medical insurance should pay

Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.

The Neo MD Dental Advantage

Dental-Certified Coding Teams

  • Expert in the CDT coding system (D0000-D9999 codes)
  • CPT coding for medical-dental crossover claims
  • Periodontal surgery optimization (osseous surgery, grafting, regeneration)
  • Implant procedure coding (placement, restoration, bone grafting)
  • Oral surgery billing (extractions, impactions, biopsies)
  • Sedation and anesthesia coding (conscious sedation, IV sedation, general anesthesia)

→ 94–96% clean claim rate vs 64–76% industry average

Medical-Dental Crossover Revenue

We ensure proper billing for:

  • Surgical extractions billed to medical insurance
  • TMJ treatment and disorders
  • Sleep apnea oral appliances
  • Trauma and accident-related dental procedures
  • Oral pathology biopsies and lesion removals
  • Frenectomy procedures for medical conditions
  •  

→ $12K–$28K monthly recovery from medical insurance billing

Complete Prior Authorization Management

We handle authorizations for:

  • Implant procedures and bone grafting
  • Periodontal surgery (osseous surgery, grafting)
  • Orthodontic treatment plans
  • Oral surgery (impacted teeth, multiple extractions)
  • Sedation and anesthesia services
  • Sleep apnea oral appliances

→ 4.5-day turnaround instead of 10–15 days

Implant & Surgical Revenue Maximization

We optimize billing for:

  • Dental implant placement (single, multiple, full arch)
  • Bone grafting procedures (socket preservation, ridge augmentation, sinus lifts)
  • Implant-supported restorations
  • Complex surgical extractions
  • Ridge preservation and augmentation
  • Guided tissue regeneration (GTR)

→ $14K–$32K monthly from implant and surgical services

Periodontal Services Optimization

We capture:

  • Scaling and root planing (quadrant-based billing)
  • Osseous surgery (flap procedures with bone recontouring)
  • Soft tissue grafting (free gingival grafts, connective tissue grafts)
  • Crown lengthening procedures
  • Periodontal maintenance versus prophylaxis
  • Antibiotic delivery systems (Arestin)

→ $8K–$18K monthly from periodontal optimization

Real-Time Revenue Visibility

  • Daily procedure claim tracking
  • Weekly denial pattern analysis
  • Monthly financial performance by procedure category
  • Quarterly payer policy update reviews

→ Complete transparency

Dental Services We Master

Preventive & Diagnostic

 Comprehensive oral evaluations and periodic examinations with proper code selection based on patient status, diagnostic imaging including periapical and bitewing radiographs with correct frequency tracking, panoramic imaging and cone beam CT for surgical planning, prophylaxis and periodontal maintenance with correct distinction coding, fluoride treatments and sealant applications, and oral cancer screenings with appropriate documentation.

Restorative Procedures

Amalgam and composite restorations with correct surface and tooth location coding, crown and bridge procedures including full coverage crowns and fixed partial dentures, inlays and onlays with proper material designation, core buildups and post and core procedures, temporary crown fabrication and cementation, and crown recementation with appropriate code selection.

Periodontal Services

Scaling and root planing by quadrant with proper periodontal diagnosis documentation, osseous surgery including flap procedures with bone recontouring, soft tissue grafting procedures including free gingival grafts and connective tissue grafts, crown lengthening for restorative or esthetic purposes, guided tissue regeneration with membrane placement, and periodontal maintenance following active therapy.

Oral Surgery

Simple and surgical tooth extractions with appropriate complexity coding, impacted tooth removal with bone removal and sectioning documentation, multiple extractions in the same visit with correct procedure codes, alveoloplasty and bone recontouring procedures, biopsy of oral tissue for pathology evaluation, and frenectomy procedures for tongue-tie or other conditions.

Implant Procedures

Single tooth implant placement with proper site preparation documentation, multiple implant placement for fixed or removable prosthetics, bone grafting procedures including socket preservation and ridge augmentation, sinus lift procedures (lateral window and internal approach), implant-supported crown fabrication and delivery, and implant maintenance and repair procedures.

Endodontic Services

Root canal therapy on anterior, premolar, and molar teeth with proper canal count documentation, retreatment of previous root canal therapy, apicoectomy and periradicular surgery, pulpotomy and pulp capping procedures, and temporary and permanent root canal filling materials.

Real Results: 3-Dentist General Practice with Implants (Arizona)

“We had no idea we could bill surgical extractions to medical insurance. Neo MD helped us implement medical-dental crossover billing, optimized our implant coding, and fixed our periodontal surgery claims. Revenue is up 29% without adding procedures.”

— Dr. Mark T., General Dentist

Metric Before NEO MD After NEO MD (90 Days)
Denial Rate on Surgical Procedures 28% 4.4%
Annual Revenue Loss $440,000 Recovered
Medical Insurance Billing for Extractions Never Billed +$14,000 / month
Implant Procedure Coding Consistently Undercoded +$18,000 / month
Periodontal Surgery Claims Frequently Downcoded +$11,000 / month
Sedation Code Capture Never Captured +$6,000 / month
Total Revenue Impact Missed Revenue $57,000 / month
($684K annually)

Free Download

Dental Denial Prevention Checklist

The exact checklist our coders use for 94%+ clean claims.

Medical-dental crossover decision tree (when to bill medical vs dental insurance)

CDT code selector for common procedures (restorative, surgical, periodontal)

Implant procedure coding matrix (placement, grafting, restoration)

Periodontal surgery documentation requirements (osseous surgery, grafting)

Sedation and anesthesia billing guide (time tracking, monitoring documentation)

Coordination of benefits workflow (dental vs medical insurance)

Narrative explanation templates for complex procedures

Frequency limitation tracker by procedure type

Used by 190+ dental practices. Worth $2,400. Yours free.

Performance: Neo MD vs Industry Standard

Performance Metric Industry Avg Neo MD
Clean Claim Rate 64–76% 94–96%
Denial Rate 24–36% 4–7%
Medical Crossover Capture 8–22% 92%+
Implant Coding Accuracy 68–79% 97%+
Periodontal Revenue Optimization 62–74% 95%+
Sedation Billing Capture 38–56% 94%+

Our Process: Revenue Acceleration in 90 Days

Step 1 (Week 1)
Free 90-Day Revenue Diagnostic

 We begin with a comprehensive analysis of your last 90 days of billing data, examining every surgical extraction for medical insurance billing potential, reviewing implant procedures for complete code capture, including bone grafting and sinus lifts, evaluating periodontal surgery coding for appropriate complexity, and assessing sedation services for proper billing. Our team identifies medical-dental crossover opportunities that were billed only to dental insurance, reviews coordination of benefits handling between dental and medical carriers, and examines narrative documentation quality for complex procedures. You receive a detailed report showing exactly where revenue is leaking with specific examples of missed medical billing and the dollar amount being lost to each type of coding error or missed opportunity.

Step 2 (Weeks 2-3)
Seamless Transition

Our implementation team coordinates a smooth transition with zero disruption to your patient schedule or clinical operations. We integrate with your dental practice management system (whether you're using Dentrix, Eaglesoft, Open Dental, Curve, or any other platform), verify all dental and medical payer enrollments and credentialing, set up medical-dental crossover protocols with criteria for medical insurance billing, establish implant and periodontal coding workflows with complete procedure documentation requirements, and provide comprehensive training to your dentists, hygienists, and front office staff on CDT versus CPT code selection, medical necessity documentation, and coordination of benefits procedures. Most practices have their first clean claims submitted within 10-12 business days.

Step 3 (Days 30-90)
Revenue Acceleration

This is where you see immediate financial impact. Our certified dental coders begin identifying and billing appropriate surgical procedures to medical insurance carriers, implementing complete implant procedure coding, including all grafting and augmentation services, optimizing periodontal surgery claims with proper osseous surgery and regeneration coding, and capturing sedation and anesthesia services that were previously unbilled. We establish coordination of benefits protocols to maximize reimbursement from both dental and medical insurance when applicable. Within the first 30 days, most practices see noticeable cash flow improvement from medical crossover billing alone, and by day 90, our clients average a 24-29% revenue increase without adding patient appointments or performing more procedures.

Step 4 (Ongoing)
Continuous Optimization

 Revenue optimization doesn't stop at 90 days. We provide bi-weekly updates on dental coding changes and payer policy modifications including CDT code updates and medical insurance coverage expansions, conduct monthly procedure coding reviews with your dentists to ensure continued documentation accuracy for implants, periodontal surgery, and oral surgery, perform quarterly compliance audits on medical-dental crossover billing and coordination of benefits processes, and deliver annual coding update training specific to dental and oral surgery services. As your practice adds new services like sleep apnea appliances, additional implant procedures, or advanced periodontal techniques, we proactively research coverage policies and implement billing protocols to ensure maximum reimbursement from day one.

Critical Compliance Issues We Handle

Dental practices face unique compliance challenges. We protect you:

CDT vs CPT code selection (when to use dental vs medical coding systems)

Medical-dental crossover documentation (medical necessity for surgical procedures)

Coordination of benefits accuracy (primary vs secondary insurance determination)

Implant procedure documentation (bone quality, grafting medical necessity)

Periodontal surgery medical necessity (probing depths, bone loss documentation)

Sedation monitoring requirements (time tracking, vital signs documentation)

Frequency limitations tracking (prophylaxis, periodontal maintenance, x-rays)

Narrative explanation standards (unusual or complex procedure justification)

Alternative benefit limitations (least expensive alternative treatment rules)

We keep you compliant, paid, and audit-ready.

Frequently Asked Questions

 10–14 days, zero claim disruption.

Yes. We handle dental insurance, medical insurance, and coordination between both.

We identify surgical extractions, TMJ, sleep apnea, and other procedures that are billable to medical insurance.

 5–8% of collections, but clients average 24–29% revenue increase.

Yes. We handle general dentistry, oral surgery, periodontics, endodontics, and orthodontics.

We optimize all implant billing, including placement, grafting, and restoration phases.

Stop Losing $18K–$45K Every Month

Every month you delay is another month of compounded clinical leakage.

Surgical extractions billed only to dental insurance

Implant procedures undercoded

Periodontal surgery downcoded

Sedation services are never billed

Medical crossover opportunities missed

Coordination of benefits errors

Partner with Neo MD

Operational Performance Protocol

Clean Claims Rate
94–96%
Denials below 5%
60 Days
Revenue up 24–29%
90 Days
Medical crossover capture
92%+
Implant coding accuracy
97%+
Periodontal optimization
95%+

Sedation capture

94%+

Two Ways to Get Started

Option 1

Free Revenue Analysis

No obligation. No sales pitch. Just data.

We’ll show you:

Option 2

Talk to a Specialist

15-minute consultation. Zero pressure.

We’ll discuss:

Or call us directly:

Monday-Friday, 8 am-5 pm EST

The Cost of Waiting

If you’re a dental practice collecting $1.9M annually and losing 26% to billing inefficiencies:

$494,000

Per year in lost revenue

$2.47 million

Over 5 years

That’s hiring another dentist, opening a second location, investing in advanced equipment like CBCT or CAD/CAM systems, or expanding into comprehensive implant and surgical services.

Every month you wait costs you $41,200; you'll never recover.

The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”

Neo MD Inc. | Dental Medical Billing Specialists

Trusted by 190+ dental practices across all 50 states